Joseph Anthony Saitta, Jr. v. State of Tennessee ( 2017 )


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  • IN THE C()URT OF CRIMINAL APPEALS OF TENNESSEE
    AT NASHVILLE
    Assigned on Briefs August 8, 2017
    JOSEPH ANTHONY SAITTA, JR. v. STATE OF TENNESSEE
    Appeal from the Circuit Court for Warren County
    _______,_._M-~
    No. F-13783 Larry B. Stanley, Jr., Judge 1 ' ,_,j .
    § ii l l.. h §§
    s\:P 03 emi
    No. M2017-00081-CCA-R3-PC \
    Cleii< of the Cou.
    The petitioner, Joseph Anthony Saitta, Jr., appeals the denial of post-conviction relief
    from his Warren County Circuit Court conviction for rape of a child. The petitioner
    alleges he received ineffective assistance of counsel and that the cumulative effect of trial
    counsel’s errors resulted in the denial of a fair trial. Discerning no error, we affirm the
    judgment of the post-conviction court.
    Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Criminal Court Affirmed
    J. ROSS DYER, J., delivered the opinion of the court, in Which ROBERT W. WEDEMEYER
    and D. KELLY THoMAs, JR., JJ., joined.
    Susan N. Marttala, Assistant Public Defender, McMinnville, Tennessee, for the
    petitioner, Joseph Anthony Saitta, Jr..
    Herbert H. Slatery III, Attorney General and Reporter; Alexander Collins Vey, Assistant
    Attorney General; Lisa S. Zavogiannis, District Attorney General; and Tom Miner,
    Assistant District Attorney General, for the appellee, State of Tennessee.
    OPINION
    F acts and Procedural History
    A Warren County Circuit Court jury found the petitioner guilty of rape of a child,
    and the trial court subsequently imposed a sentence of fifty-eight years in confinement to
    be served at 100%. On direct appeal, this Court confirmed the petitioner’s conviction,
    and our Supreme Court denied his application for permission to appeal State v. Joseph
    Anthony Saitta, Jr., No. M2013-01947-CCA-R3-CD, 
    2014 WL 4384319
    (Tenn. Crim.
    App. Sept. 5, 2014), perm. app. denied (Jan. 15, 2015). This Court previously recited the
    following underlying facts:
    ln July 2012, the Warren County Grand Jury indicted the [petitioner]
    for rape of a child. The alleged victim was his daughter, who was born on
    June 30, 2009.
    At trial, Sethly Hodges testified that she became a licensed practical
    nurse in November 2010, began working for CareAll Home Health in April
    2011, and was assigned to care for the victim from April to November
    2011. The victim, who was two years old in November 2011, was
    Hodges’s only patient. The victim suffered from cerebral palsy, brain
    damage, scoliosis, and breathing problems; had a feeding tube and
    tracheostomy; and could not speak. Hodges did not think the victim had
    clear vision, but the victim could hear. Hodges said that she and another
    nurse “split” the victim’s care, each working twelve-hour shifts, and that
    she cared for the victim thirty-six to forty-six hours per week. The nurses
    looked after the victim in her home and “did everything” for her, including
    changing her diaper, sometimes washing her laundry, bathing her, flushing
    her feeding tube, and giving her breathing treatments Usually, one of the
    victim’s parents was present. Hodges said she never had to leave the victim
    alone with the victim’s parents because another nurse always came in at the
    end of Hodges’s shift and “relieved” her.
    Hodges testified that at some point, the victim’s family lost use of
    both of its vehicles. The nurses tried to help the family by driving the
    [petitioner] to work, and Hodges even let the family use her car to run
    errands. The victim’s mother also had a five- or six-year-old son, but he
    did not live with the family. In November 2011, the victim’s mother was
    scheduled to have visitation with her son for Thanksgiving. The victim’s
    mother did not have transportation, so Hodges drove her to pick up the boy
    on Tuesday, November 22, 2011. The trip lasted about four hours. While
    Hodges and the victim’s mother were gone, the victim was at home alone
    with the [petitioner]. Hodges said she was not worried about leaving the
    victim with the [petitioner] because the victim’s mother was not concerned
    about it. Also, the victim had been left alone with the [petitioner]
    previously, and the [petitioner] knew how to take care of her. Before
    Hodges and the victim’s mother left for the trip, Hodges checked the
    victim’s diaper and flushed her “trach.” The diaper did not need to be
    changed.
    _2_
    Hodges testified that while they were on the trip, the victim’s mother
    received a text from the [petitioner], stating that the victim had had “a
    really big, hard bowel movement and he didn’t think the nurses were giving
    her enough water that he was going to give her water.” Hodges stated that
    she had never experienced the victim “being what l would call constipated.
    There maybe [had] been a day or two that she didn’t have a bowel
    movement but that doesn’t necessarily mean that she was constipated.”
    Hodges said that the victim sometimes received Miralax or Benefiber in her
    feeding tube and that the victim’s mother “would kind of switch her back
    and forth, Benefiber and Miralax and there was discussion that she may
    have been constipated but as far as when I was there I never saw any -
    nothing concerned me as far as constipation.” Hodges had never seen
    blood in the victim’s stool.
    Hodges testified that when she and the victim’s mother returned
    home about 4:30 p.m., she went into the victim’s bedroom and immediately
    smelled the strong odor of a bowel movement The [petitioner] was lying
    on the floor in the room but got up and went into the living room, and
    Hodges began changing the victim’s diaper. She said that when she opened
    it, she noticed blood and “a little bit of discoloration as far as like a little bit
    of brown but it’s not what l would call a bowel movement.” Hodges said
    that she had been expecting a bowel movement in the diaper but that
    “[t]here was what appeared to be like BM, maybe almost looked like a little
    bit of diarrhea maybe. . . . [A]nd then there is like slimy stuff. It’s all kind
    of mixed together.” Upon seeing the blood, Hodges called for the victim’s
    mother. When the victim’s mother came into the room, she inspected the
    victim’s rectum, and they saw that the victim’s rectum had been “ripped.”
    Hodges said that the rip was not “front to back” but that it was “a good size
    rip” and “shocking.” Hodges wiped the victim’s vagina with a baby wipe
    but saw no blood. When she wiped the victim’s rectum, blood was on the
    wipe. She stated,
    I’m not going to say that it was oozing out but again,
    whenever she pulled her bottom apart you could see blood up
    inside of there kind of with the bodily fluids, there was tissue.
    l didn’t just sit there and stare at it because it was very gut
    wrenching.
    Hodges testified that the victim’s mother’s face “got red,” that both of them
    were shaking, and that the victim’s mother began yelling at the [petitioner].
    -3_
    The victim’s mother went to speak with him, and Hodges could hear them
    “bickering back and forth.” The victim’s mother wanted to know about the
    blood and “how did your daughter’s bottom get like this.” The [petitioner]
    said he did not know.
    Hodges testified that she was panicked, scared, and “thinking the
    worst.” She stated, “I couldn’t even, like as a nurse, looking back, I should
    have looked further at [the victim] but I have a two year old daughter and
    seeing that Was very traumatic.” Hodges wanted to telephone her
    supervisor but was afraid the [petitioner] would hear her and was afraid of
    what the [petitioner] might do. Therefore, she texted her supervisor about
    the situation. When her supervisor did not respond, Hodges texted Tracy
    Martin, the nurse who was supposed to relieve her from her shift. Martin
    responded that if the victim’s condition was as bad as Hodges said, then she
    needed to take the victim to the hospital. Hodges talked with the victim’s
    mother about taking the victim to the hospital, and the [petitioner] stated
    that if they did so “they’re going to think [he] did it.”
    Hodges testified that she noticed the trash can by the victim’s bed
    had been emptied and that she told the victim’s mother that the diaper the
    [petitioner] had changed was not there. The victim’s mother left the room
    and returned with the diaper. Hodges said the victim’s mother also had
    paper towels with blood “all over them.” They opened the diaper but saw
    no blood in it. Hodges said that “mushy” stool was in the diaper but that
    the amount of stool “wasn’t huge” and that she saw nothing concerning
    about the stool. She said the bloody paper towels were “kind of pink in
    some places . . . slimy, if you will” and appeared to have bodily fluid on
    them. The State asked Hodges if she recognized the fluid, and she said that
    she thought it was semen. She said the nurses never used paper towels to
    clean the victim after a bowel movement They always used baby wipes.
    Hodges testified that she and the victim’s mother decided to take the
    victim to the emergency room (ER) but did not let the [petitioner] know
    what they were doing. They put the diaper that Hodges had taken off the
    victim, the diaper that the [petitioner] had changed, and the bloody paper
    towels into a bag and put the bag in Hodges’s purse. On the way to the
    hospital, Hodges and the victim’s mother agreed to say the victim’s
    condition occurred when Hodges “ran [the victim’s mother] down to the
    Dollar General.” Hodges said that when they arrived at the ER and spoke
    with the triage nurse, the victim’s mother “was a completely different
    person” and told the nurse that the victim “had been dealing with some
    _4_
    constipation problems and that there was a little blood in her feces.”
    Hodges said that the victim’s mother’s statement was “[a]bsolutely not”
    consistent with what Hodges had seen but that Hodges did not say anything
    to the triage nurse. She said that the victim’s mother “didn’t let me do a
    whole lot of talking” but that “I did try to stress the severity of the rip.”
    The victim’s mother did not tell the nurse about the bloody paper towels or
    the blood in the diaper that the [petitioner] had changed
    Hodges testified that her shift ended at 7:00 p.m. and that Martin
    arrived at the hospital to relieve her. Hodges spoke with Martin in the
    parking lot, “tried to stress to her the severity of the tears,” and gave her the
    bag that contained the diapers and paper towels. Hodges said that when she
    got home, she telephoned the hospital, spoke with the nurse caring for the
    victim, and told the nurse that she thought “they should investigate further
    because [she] thought there was a little more going on that [the victim’s]
    mother hadn’t made them aware of.” Hodges also began having second
    thoughts about lying to her supervisor regarding the amount of time she had
    been away from the victim that day. Hodges had told her supervisor that
    she and the victim’s mother had gone to the store. Hodges said she did not
    tell her supervisor about the four-hour trip because she was afraid of losing
    her job and her nursing license. However, she decided “to come clean . . .
    for [the victim’s] sake.” The next morning, she went to CareAll and told
    her supervisor about the trip, and CareAll fired her. Hodges went to the
    sheriffs department and spoke with Investigator Kelly Carter.
    On cross-examination, Hodges acknowledged that a laxative or fiber
    supplement was a routine part of the victim’s care and that the victim had to
    have them. She also acknowledged that the victim’s physician had
    prescribed Miralax or Benefiber to the victim and had switched the victim
    from one to the other. At the time of this incident, the physician had
    switched the victim back to Benefiber. The [petitioner] had very little to do
    with the victim. In fact, neither of the victim’s parents had much to do with
    her care because the nurses always took care of her. During the four-hour
    trip, Hodges and the victim’s mother stopped at the home of Hodges’s
    boyfriend in Smithfield to get money for gas. When they returned to the
    victim’s mother’s home after the trip, Hodges saw blood in the victim’s
    diaper. Defense counsel asked Hodges about the amount of blood, and she
    stated, “I mean it wasn’t just like covered in blood but there was spots of
    blood, smears of blood.”
    Hodges acknowledged that as part of her duties, she made notes
    about the victim throughout her shifts. On November 22, 2011, Hodges
    made her notes after she left the ER. Defense counsel showed Hodges her
    notes, and she acknowledged that she wrote that blood “‘appear[ed]”’ to be
    in the victim’s diaper. She said she was sure she saw blood. She
    acknowledged that a child could have a large bowel movement with blood
    in the stool. She described the tear to the victim’s rectum as large and
    “straight up and down” but said, “I looked away from it to be completely
    honest because it startled me.” The paper towels were not saturated with
    blood, but “there was a lot of smeared blood on them.” The blood appeared
    to be mixed with semen but Hodges could not say for sure whether the fluid
    was semen or some other bodily fluid. Defense counsel asked why she
    thought the fluid was semen, and she stated, “I guess because she was torn
    and that’s the first thing that entered my mind.” She acknowledged that
    although she was scared for the victim on November 22, she did not show
    the diapers or paper towels to the hospital staff. She said that she regretted
    that decision every day and that she and the victim’s mother thought the
    [petitioner] had done something to the victim. Hodges acknowledged that
    the ER physician diagnosed the victim with constipation. Hodges said she
    thought the hospital staff “didn’t check her out thoroughly because they
    weren’t led in the right direction to check her out thoroughly.” She
    acknowledged that she did not know the [petitioner] harmed the victim.
    On redirect examination, Hodges testified that what she saw in the
    diaper did not match the [petitioner’s] description in his text message. She
    acknowledged that, given the physician’s diagnosis of constipation, she
    could have decided not to reveal anything to her CareAll supervisor.
    However, she stated,
    As a human being l felt like - and also 1 have a daughter that
    is the same age and seeing [the victim] the way that I saw her
    in the condition that she’s in it was horrifying and l truly felt
    like I had to go further with it for [the victim’s] sake. Yes, I
    didn’t feel that he went far enough as investigating what was
    wrong with her.
    Tracy Martin testified that she became a licensed practical nurse in
    June 2005 and was involved in the victim’s care through CareAll from June
    or July 2011 until November 22, 2011. The victim could not communicate,
    sit, or roll over but responded to loud noises. When the victim was in pain,
    she was fidgety, moved her arms, and sometimes produced tears from her
    _6_
    eyes. Martin spent at least thirty-six hours per week with the victim,
    usually working twelve-hour shifts, and her care of the victim included
    respiratory treatments, rotating splints on the victim’s hands and feet,
    exercising, bathing, and administering medications. The victim’s parents
    also knew how to care for the victim and changed the victim’s trach tube,
    which the nurses were not authorized to do. The victim’s mother was very
    active in her care and instructed the nurses. The [petitioner] changed the
    victim’s trach when it needed to be changed, but Martin did not see him
    often and did not have much interaction with him. Besides Martin and
    Sethly Hodges, other nurses also provided care for the victim.
    Martin testified that on November 22, 2011, she was supposed to
    care for the victim from 7:00 p.m. to 1200 a.m., which was a short shift.
    About 5:00 p.m., Hodges texted Martin that she was scared something had
    happened to the victim. Hodges later telephoned Martin and told her what
    was happening Martin told Hodges to notify CareAll and take the victim
    to the ER if Hodges had any question about the victim’s condition. Martin
    thought CareAll told Hodges to take the victim to the ER, and Martin
    reported to the ER for duty.
    Martin testified that when she arrived at the hospital, the victim, the
    victim’s mother, the [petitioner], and Hodges were sitting in the waiting
    room. The victim’s mother asked Martin to drive the [petitioner] to work,
    so Martin drove him to Calsonic. During the drive, the [petitioner] asked
    Hodges if constipation could have caused the victim’s “problems.” He also
    told Martin to tell the victim’s mother “that constipation causes that.”
    Martin said she thought the [petitioner’s] statements were “very odd.”
    When she returned to the ER, the victim and the victim’s mother were still
    in the waiting room. Hodges and Martin went to get some things out of
    Hodges’s car, and Hodges reported to Martin what had happened. While
    Hodges and Martin were outside, the victim’s mother texted or telephoned
    Martin, asked what they were doing, and told Martin that she needed to get
    back inside. Martin took the victim’s car seat out of Hodges’s car, and
    Hodges gave her a white plastic bag containing diapers and paper towels.
    Hodges told Martin that the items in the bag were from the victim and that
    Martin needed to take them. Martin saw the paper towels and described
    them as “kind of pink-tinged like blood-body fluid mixture but it was
    dried.” She said that the blood was smeared and that the bodily fluid
    looked like semen. Martin put the plastic bag in her car and returned to the
    ER. She did not open the diapers.
    Martin testified that when she and the victim’s mother met with the
    ER doctor, the victim’s mother told him that they were there due to
    “[c]onstipation, a recent med change from Miralax to Benefiber and some
    blood in [the victim’s] stool.” All Martin knew was what Hodges had told
    her, but the victim’s mother’s statement to the doctor was inconsistent with
    Hodges’s version. Martin said that constipation was “not a big concern” in
    her care of the victim and that “1 don’t recall ever seeing her have a really
    hard bowel movement.” However, Martin had seen the victim have
    difficulty passing formed stool. Martin had never seen blood in the
    victim’s stool or anal fissures on the victim. The victim took Miralax and
    Benefiber for constipation and had been switched from one to the other.
    When the switch occurred, Martin did not notice any changes in the
    victim’s bowel movements
    Martin testified that when the victim’s mother took off the victim’s
    diaper for the ER doctor, Martin saw “a very small amount of red, I’m
    assuming was blood and there was some brownish-yellowy spots on her
    diaper that looked almost like liquid stool and a little bit of slime.” She
    said that the doctor looked at the victim’s “bottom” as if he was changing
    her diaper, “holding the legs up just kind of glancing.” He did not look
    closely at the victim’s rectum. The victim also had an abdominal x-ray.
    The doctor told them that the victim had a small amount of stool in her
    upper intestinal tract and to continue with the victim’s fiber regimen at
    home. After the victim was discharged from the hospital, Martin drove
    everyone home. The victim was exhausted, and Martin got her ready for
    bed. Meanwhile, the victim’s mother changed the victim’s bed linens
    because “[t]here was little droplets of blood in a few places and there was
    some smeared stool on the sheet and the body pillow.” The victim was
    wearing only a shirt, and Martin changed her into her bed clothes. Martin
    said she thought the shirt was put into the laundry basket
    Martin testified that the white plastic bag containing the diapers and
    paper towels had been in the backseat of her car and that “l know that [the
    victim’s mother] took them out of my vehicle but l don’t know where they
    went past that.” The next morning, Martin stopped by CareAll to turn in
    some paperwork. Hodges was there and “kind of distraught about
    everything that [had] happened.” Hodges was upset because she thought
    nothing had been done about the situation and talked about going to the
    sheriffs department Later that day, Martin met Hodges there, and they
    spoke with Investigator Kelly Carter.
    _g_
    On cross-examination, Martin testified that she did not work with the
    victim after November 22 because the victim’s mother telephoned CareAll
    and asked that she not return. She said that when she and Hodges went
    outside at the hospital, Hodges first showed her the items in the white
    plastic bag and then explained what had happened. Hodges asked for
    Martin’s opinion about the bodily fluid on the paper towels, and Martin
    thought the fluid was semen. Martin said she had seen semen previously
    and was basing her opinion on personal and professional experience.
    Hodges also thought the fluid was semen. Martin acknowledged that
    Hodges was concerned the [petitioner] had perpetrated some act on the
    victim. Martin said she did not reveal Hodges’s concern to the ER staff
    because she did not have any first-hand knowledge “other than seeing the
    paper towels.” Also, Hodges had agreed to call the ER and “give them a
    report on what had happened under her watch.” Martin was present when
    the ER doctor stated his findings, and Martin was concerned that the
    doctor’s findings were not consistent with what had actually happened.
    Nevertheless, Martin did not say anything to the doctor. The next day,
    Hodges and Martin met with Investigator Carter together but wrote their
    statements separately.
    On redirect examination, Martin testified that she saw the victim’s
    rectal area when the ER doctor raised the victim’s legs and that “you could
    see a tear below her rectum maybe that size. You could see it running
    down from her rectum.” Martin demonstrated the length of the tear for the
    jury and acknowledged that it was about one inch. She did not examine the
    victim’s rectal area when they returned home on November 22. Martin said
    she changed the victim’s diaper but “didn’t go any further than rinsing her
    with water because she was obviously in pain.”
    lnvestigator Kelly Carter of the Warren County Sherist
    Department testified that he learned about the case on November 23, 2011,
    and spoke with Sethly Hodges and Tracy Martin. He acknowledged that
    they gave statements to him that were consistent with their trial testimony.
    Alicia Cantrell from the Department of Children’s Services (DCS) was
    assigned to the case, and she and Investigator Carter went to the victim’s
    home on the afternoon of November 23. The victim, the victim’s parents,
    the victim’s half-brother, and a home health nurse were there. The victim’s
    mother took Investigator Carter and Cantrell into the victim’s bedroom, and
    they viewed the victim.
    Investigator Carter testified that he had learned from Hodges and
    Martin that the victim’s light blue shirt and pink shorts were in a diaper bag
    hanging in the victim’s closet and that a white spot was on the clothing.
    lnvestigator Carter asked the victim’s mother for permission to search the
    home, and she consented. lnvestigator Carter said he found the clothes
    where the nurses had said and that he saw a white spot, “like a dropping,”
    on the shorts. The victim’s mother allowed him to take the clothing. That
    night, Investigator Carter learned that the victim and someone from DCS
    were at the hospital Investigator Carter went there and spoke with the
    victim’s mother. The [petitioner] was not present. The victim’s mother
    told Investigator Carter that she and the nurse had gone to the Dollar
    General Store the previous day and were away from the victim about forty-
    five minutes. Investigator Carter questioned the victim’s mother about the
    time and then confronted her with Hodges’s claim that they had been gone
    four hours. The victim’s mother admitted to the time and said that the
    victim was left in the [petitioner’s] care. She told the officer that she had
    lied because she did not want to get Hodges in trouble.
    Investigator Carter testified that on November 28, he returned to the
    victim’s home and spoke with the victim’s mother again. Investigator
    Carter had learned that a dark blue body pillow cover was folded in the
    bottom of the victim’s hamper in her bedroom. He asked the victim’s
    mother for consent to search, and she said yes. Investigator Carter found
    the pillow cover and collected it as evidence. On December 1, 2011,
    lnvestigator Carter spoke with the [petitioner] at the [petitioner’s] mother’s
    home. He did not give Mirana’a warnings to the [petitioner] because he had
    no reason to arrest the [petitioner] and was “just basically going to talk to
    him to see what he knew about the incident.” He wrote the [petitioner’s]
    statement the [petitioner] reviewed it, and the [petitioner] signed it. In the
    statement, the [petitioner] said the following: On November 22, 2011, the
    [petitioner] stayed home with the victim and heard her “beeper monitor go
    off,” so he went in her room to check on her. The victim had had a hard
    bowel movement The [petitioner] did not see anything wrong, and the
    bowel movement did not have blood on it The [petitioner] changed the
    victim’s diaper and lay down on the floor in her room. He texted the
    victim’s mother, telling her about the bowel movement and that the
    victim’s “butt looked raw so I put cream on it.” About twenty minutes
    before the victim’s mother came home, the [petitioner] changed another
    diaper that contained “some hard and some soft poop.” He did not see
    blood in the diaper, put the diaper in the trash, and took out the trash. The
    [petitioner] used paper towels instead of baby wipes to wipe the victim. He
    _1()_
    was lying on the floor when the victim’s mother got home. The [petitioner]
    told Hodges about what had happened and went to smoke. Hodges called
    the victim’s mother into the victim’s bedroom, and the victim’s mother
    yelled at the [petitioner], “‘[W]hat the [f"‘ * *] did you do, Joe?’ “The
    [petitioner] did not tell her anything. The victim’s mother said the victim
    was bleeding, so they all left for the hospital. Tracy Martin arrived at the
    hospital and drove the [petitioner] to work.
    Investigator Carter testified that after the [petitioner] gave his
    statement, the [petitioner] asked about the victim’s clothes. Investigator
    Carter told the [petitioner] that he had not yet sent the clothes to the
    Tennessee Bureau of Investigation (TBI). The [petitioner] stated, “I
    sometimes masturbate.” Investigator Carter asked if the [petitioner] did so
    in the victim’s room, and the [petitioner] said no. The [petitioner] said that
    he sometimes used his clothes to clean himself but that he did not use the
    victim’s clothes. Investigator Carter wrote the [petitioner’s] masturbation
    statement in his notes but did not put it in the [petitioner’s] written
    statement On February 6, 2012, Investigator Carter asked the [petitioner]
    to provide a DNA sample. He collected buccal swabs from the [petitioner]
    and the victim and sent all of the evidence to the TBI Crime Laboratory.
    Later, he learned that semen had been found on the victim’s shorts. On
    April 20, 2012, Investigator Carter went to the [petitioner’s] home and
    asked him for an interview at the sheriff’s department The [petitioner] did
    not have a ride, so he rode to the sheriff’s department with Investigator
    Carter. Although the [petitioner] was not under arrest, he received Mirana’a
    warnings and spoke with Investigator Carter and Investigator Jason
    Rowland. Investigator Carter said that Investigator Rowland “mainly”
    questioned the [petitioner]. During the interview, which was recorded, the
    [petitioner] stated that he never saw blood in the victim’s diaper and that he
    wiped the victim with a paper towel because the perfumes in baby wipes
    could burn the victim. Investigator Carter questioned the [petitioner] about
    the semen, and the [petitioner] could not explain how the semen got onto
    the victim’s shorts. Investigator Carter said the [petitioner] stated that the
    semen should not have been there and that he had not masturbated that day.
    On cross-examination, Investigator Carter acknowledged that after
    speaking with Hodges and Martin on November 23, he was concerned
    about a sexual assault He and Alicia Cantrell went to the victim’s horne to
    conduct a welfare check on her. The [petitioner] answered the door, and
    Cantrell told him that they needed to speak with the victim’s mother.
    Cantrell told the victim’s mother that they were there for a welfare check on
    _11_
    the victim. Cantrell also advised the victim’s parents that she and
    Investigator Carter were there “looking into some allegations.”
    Investigator Carter testified that when he returned to the home on
    November 28, he had the victim’s mother sign a consent to search form.
    He did not have her sign a consent to search form on November 23 when he
    collected the shirt and shorts. Investigator Carter said that throughout his
    investigation, the [petitioner] was “[s]omewhat” cooperative and always
    maintained that he did not do anything to the victim. However, Investigator
    Carter said that the statements the [petitioner] made after his written
    statement on December 1 “kind of raised my suspicions a lot more on him.”
    Investigator Carter acknowledged that those statements were not part of the
    [petitioner]’s written statement He also acknowledged that when he asked
    the [petitioner] during the April 20 interview if the [petitioner] had
    masturbated on November 22, the [petitioner] may have said that he
    probably did. Investigator Carter knew when he and Investigator Rowland
    interviewed the [petitioner] that semen had been found on the victim’s
    shorts but did not know the semen belonged to the [petitioner]. He denied
    leading the [petitioner] to believe it was the [petitioner]’s semen, stating,
    “lnvestigator Rowland is the one who basically asked the questions.”
    Investigator Carter acknowledged that the [petitioner] continually stated
    that he did not know how the semen got on the victim’s shorts.
    Investigator Carter testified that at some point, DCS advised him that
    two doctors from the hospital ER had examined the victim on two separate
    occasions and that both had concluded the victim’s rectal tear was the result
    of a hard bowel movement He also received information about the case
    from the Our Kids Center and DCS reports. Investigator Carter did not
    interview the doctors or anyone from Our Kids and did not review any
    medical records. He denied that DCS, not the sheriff’s department,
    “spearheaded” the case.
    Dr. Laura Boos of the TBI Crime Laboratory’s Serology DNA Unit
    testified that she received the victim’s shirt and shorts, a blue pillowcase,
    and the [petitioner’s] and the victim’s buccal swabs. She tested the
    clothing for semen and the pillowcase for blood and semen. Dr. Boos
    found semen on the victim’s shorts and compared the DNA from the semen
    to the DNA from the buccal swabs. The DNA from the semen matched
    that of the [petitioner]. She said that the probability of a person unrelated
    to the [petitioner] having his same DNA profile exceeded the world’s
    current population of almost six billion people. In other words, “one would
    _12_
    not expect to find that same profile from anyone else in the world
    statistically.” On cross-examination, Dr. Boos testified that she could not
    determine how long the semen had been on the shorts or how it got there.
    Lori Littrell, a physician’s assistant at the Our Kids Center in
    Nashville, testified that she performed a forensic medical examination of
    the victim on November 23, 2011. The victim was well nourished but
    unresponsive during the exam, and Littrell noticed that the victim had some
    limb stiffness and spastic movements throughout the exam, Littrell looked
    at the victim’s vaginal and rectal areas with a colposcope, which magnified
    the areas. Littrell said that the victim’s vaginal exam was normal and that
    ninety-five percent of all vaginal exams conducted at the Our Kids Center
    were normal due to the delay in disclosure of abuse and the fact that some
    children were touched in ways that did not cause any type of physical
    injury. During the victim’s rectal exam, Littrell noticed fissures, which she
    described as “really small . . . superficial cuts that are fairly common in the
    anal area.” The victim’s fissures initially appeared to be “pretty
    insignificant.” However, when Littrell used her hands to separate the
    victim’s “butt cheeks,” she saw that the victim had two anal “tears.”
    Littrell said that she considered a tear to be more extensive than a fissure.
    Looking at the victim’s anal area like a clock, Littrell saw a “pretty
    extensive tear” at the 6:00 position. The victim also had a tear at the 11:00
    position. The victim had fissures at the 3:00, 5:00, and 8200 positions.
    Littrell identified photographs of the tears and fissures for the jury.
    Littrell testified that fissures were common for a person with a
    history of constipation. However, the victim’s tears were abnormal, and
    Littrell concluded that her findings were “more excessive or extensive than
    what would be expected with the passing of a large stool or constipation
    and thereby raised serious concerns about the possibility of sexual abuse.”
    If Littrell had been in the ER with the victim on November 22 and 23, she
    would have disagreed with the ER doctors’ diagnoses. She said that sperm
    on the victim’s clothing and the victim’s rectal bleeding made her even
    more concerned about sexual abuse. She said that in cases of constipation,
    a child would have blood in the stool or diaper at the time of the bowel
    movement
    On cross-examination, Littrell testified that Alicia Cantrell had
    referred the victim to the Our Kids Center and acknowledged that Cantrell
    had been concerned about a sexual assault Littrell also acknowledged that
    the victim had been examined on two prior occasions, once on November
    _13_
    22 and once on November 23, and that the victim had been diagnosed with
    fissures caused by constipation. Cantrell sent the victim to Our Kids
    because she disagreed with those diagnoses. Littrell acknowledged that if
    the two ER physicians had conducted digital examinations of the victim’s
    rectum, those exams could have exacerbated the victim’s fissures. Littrell
    examined the victim “after hours” on November 23 but could not remember
    the exact time of the examination Littrell said that Our Kids employees
    did not diagnose children with sexual abuse; instead, “[w]e give our
    impressions as far as we’re concerned about the possibility.” Littrell said
    she was “very concerned [about] penetrating trauma” in the victim’s case.
    She said she had examined 500 to 600 children and had “never seen a
    history of constipation with this type of injury.” At the conclusion of
    Littrell’s testimony, the State rested its case.
    The victim’s mother testified that she and the [petitioner] “were
    together” four years and that the [petitioner] was the victim’s father. In
    November 2011, the victim received twenty four-hour nursing care from
    four nurses who worked twelve-hour shifts. On November 22, the victim’s
    mother and Sethly Hodges drove to Smyrna in order to pick up the victim’s
    mother’s son. The nurses were not supposed to leave the victim. However,
    the victim’s mother had wrecked her car and asked Hodges to drive her to
    Smyrna. The victim’s mother stated that while she and Hodges were on the
    trip, the [petitioner] texted that the victim had had a large bowel movement,
    that he had changed the victim’s diaper, and that he had put ointment on her
    “butt.” The [petitioner] also advised the victim’s mother that she needed to
    give the victim more water to make sure the victim’s stool was softer.
    After the victim’s mother and Hodges left Smyrna, they went to a
    pharmacy to get pills for Hodges’s boyfriend and took the pills to him.
    The victim’s mother testified that the [petitioner] was asleep on the
    floor when she returned home and that she had to wake him. She said she
    was “chewing his butt” because he had forgotten to feed the victim. While
    they were outside arguing, Hodges began changing the victim’s diaper.
    Hodges yelled for the victim’s mother, and the victim’s mother went into
    the victim’s bedroom. Hodges showed the victim’s mother a baby wipe
    and asked if blood was on the wipe. The victim’s mother looked at the
    wipe and answered, “[L]ooks like it but could be poop.” The victim’s
    mother used another wipe to wipe the victim, saw a small amount of blood
    on the wipe, and began arguing with the [petitioner] again. She got the
    diaper that the [petitioner] had changed out of the trash, and they all went to
    _14_
    the hospital. The victim’s mother took the diaper to the hospital so she
    could show it to the doctor.
    The victim’s mother testified that when they arrived at the hospital,
    she did not take the bag containing the diaper inside because she did not
    want to carry a trash bag into the hospital. She told the ER staff that the
    victim was bleeding, that the victim’s father had changed her diaper, and
    that the diaper “had a big poop in it.” The ER doctor diagnosed the victim
    with anal fissures due to constipation. The victim’s mother said she was
    not concerned about anything else because the hospital staff “didn’t say
    anything otherwise.” The next day, a DCS employee and a police
    investigator arrived at the family’s home. They asked questions, asked to
    look through the home, and asked that the victim return to the hospital. The
    victim’s mother took the victim back to the ER, and another ER doctor
    diagnosed the victim with anal fissures due to constipation. The victim’s
    mother said that she did not mislead the hospital staff on November 22 or
    23 and that, during the visit on November 23, “I didn’t hardly talk to the
    doctors at all. . . . They already knew we was coming because I guess
    Alicia [Cantrell] had already called them and told them we were going to be
    down there. I didn’t have to explain anything to them.”
    The victim’s mother testified that after they left the hospital on
    November 23, she took the victim to the Our Kids Center in Nashville.
    They arrived about 1:00 a.m. on November 24. After the [petitioner] was
    arrested, Investigator Carter told the victim’s mother that semen had been
    found on the victim’s shorts. The victim’s mother said she told the
    investigator that she was “bothered” by that revelation and that she “didn’t
    think that it could happen.”
    On cross-examination, the victim’s mother testified that the
    [petitioner] did not spend much time with the victim and only took care of
    her when other people were not there to do it. The victim’s mother thought
    the victim would be safe with the [petitioner] on November 22. She and
    Hodges left for Smyrna about 12:45 p.m., and the [petitioner] texted her
    about 2:00 p.m. The text did not mention blood. The victim’s mother and
    Hodges returned horne about 5:00 p.m. The victim’s mother said that she
    had to wake the [petitioner] and that he slept on the floor of the victim’s
    room when he had to take care of the victim because “her alarm goes off
    and you have to go in there . . . so he would just stay in there with her.”
    When the victim’s mother went into the victim’s room that afternoon, she
    did not smell anything. Hodges took off the victim’s diaper, and the diaper
    _15_
    was clean. The victim’s mother said that she yelled at the [petitioner]
    because a small amount of blood was on the baby wipe and the victim had
    been hurt in the [petitioner’s] care. She stated that the victim had problems
    with bowel movements and that she thought the [petitioner] “might have
    like kept [the victim’s] legs up to help her push hard bowels out.” She said
    she told the [petitioner] that if he had hurt the victim, she would kill him.
    The victim’s mother testified that Hodges pointed out that the
    [petitioner] had emptied the trash can in the victim’s room. The victim’s
    mother said that the [petitioner] usually did not take out the trash in the
    middle of the day and that the trash usually was emptied at the end of every
    nurses’s shift. The victim’s mother and the [petitioner] retrieved two dirty
    diapers from the emptied trash. One of the diapers had stool in it, and the
    other had urine in it. The victim’s mother and the [petitioner] also retrieved
    two or three baby wipes and some paper towels out of the trash, Blood was
    on one of the baby wipes, and blood and stool were on the paper towels.
    The victim’s mother said the [petitioner] told her that the victim’s
    “butt was raw and he didn’t want to burn her butt using the baby wipes so
    he wiped with the paper towel.” Hodges also pointed out to the victim’s
    mother that red or brown stains were on the victim’s pillowcase. The
    victim’s mother did not see stains on the victim’s shorts. The State asked
    the victim’s mother if she had “spread [the victim] open” to look at the
    victim’s rectum as Hodges had testified, and the victim’s mother answered,
    “No. l [held] her legs up.” She denied telling anyone from law enforcement
    that she spread the victim’s legs apart to inspect the victim’s rectum,
    The victim’s mother acknowledged that when she took the victim to
    the ER on November 22, the victim was bleeding only slightly. However,
    she said, “I take her to the ER [any time anything] happens.” She said she
    told the ER doctor that blood and “poop” were in the victim’s diaper.
    When the State reminded the victim’s mother that she had testified that no
    blood was in either diaper retrieved from the trash, she stated that blood
    was on one of the baby wipes and that the wipe was in the diaper
    containing stool. She acknowledged that she did not show the dirty diaper
    to the ER doctor but said that she told him about the diaper and that it was
    in the car if he wanted to see it. The ER doctor inserted his finger into the
    victim’s rectum during the examination, When the victim’s mother got
    horne that night, she put the plastic bag containing the two dirty diapers and
    paper towels back into the trash. The next day, the [petitioner’s] father
    _16_
    “took it off’ before Alicia Cantrell and Investigator Carter arrived. The
    victim’s mother said she lied about where she was on November 22
    because she did not want Hodges to get in trouble. However, when Hodges
    told the truth about the trip, the victim’s mother “looked like the idiot.”
    She acknowledged that she had been involved With DCS previously and
    that Hodges did not have a reason to lie. The victim’s mother stated that
    “[w]henever I fire a nurse they usually call DCS on me” and that she
    disliked how DCS “treat[ed] people.” The victim’s mother said that when
    Hodges did not show up for work as scheduled on November 23, she told
    the [petitioner] that DCS would be “knocking on the door either today or
    tomorrow.”
    Dr. Nigel Fontenot testified that he was an ER physician at River
    Park Hospital and examined the victim on November 23, 2011. The victim
    had been examined by another doctor previously and returned to the ER for
    another determination as to whether she had physical signs of abuse,
    specifically anal trauma. Dr. Fontenot said he was aware prior to the exam
    about possible sexual abuse and examined the victim’s vaginal and anal
    areas. For the anal exam, Dr. Fontenot pulled apart the folds of the victim’s
    buttocks to look at the tissue in the anal opening. He said that he did not
    see any bruising or irritation to the tissue but saw a “tiny, tiny” fissure at
    the 6:00 position. He said the fissure was “maybe just a few millimeters in
    size.” Dr. Fontenot did not see any active bleeding. He acknowledged that
    he had examined children for sexual abuse previously and said that he
    could not recall any case in which he had seen evidence of sodomy. He had
    seen, however, evidence of vaginal rape. He stated that in the instant case,
    he did not see “anything that stood out as signs that there was a forcible
    assault.”
    On cross-examination, Dr. Fontenot testified that he did not use a
    colposcope or external light source during the victim’s rectal examination
    He conducted an external, visual exam and saw one fissure. He did not
    conduct an internal exam. Therefore, he would not have been surprised to
    learn that someone who conducted an internal exam saw an internal fissure.
    However, he would have been surprised to learn that someone who
    conducted an external exam saw more than one external fissure. He stated
    that an extremely handicapped child such as the victim, who was unable to
    resist a perpetrator, would experience less physical trauma during a sexual
    assault than a child capable of resisting and that he would expect to see
    “minimal external evidence of trauma.” In fact, the passage of an
    extremely large, hard stool could cause more trauma to the child than a
    _17_
    penile penetration Dr. Fontenot had been advised that the victim had
    experienced an unusually large bowel movement and he relied on that
    statement for his diagnosis. Therefore, in his opinion, it was reasonable to
    assume that the victim’s fissure had been caused by constipation. He
    acknowledged that if he had known semen was present on the victim’s
    clothing, he would have looked at the cause of the fissure differently.
    At the conclusion of Dr. Fontenot’s testimony, the jury convicted the
    [petitioner] as charged of aggravated rape of a child, a Class A felony.
    After a sentencing hearing, the trial court sentenced him to fifty-eight years
    in confinement to be served at 100%.
    
    Id., at *1-13.
    The petitioner subsequently moved for a new trial, and the trial court denied the
    request A timely direct appeal followed. On direct appeal, the petitioner claimed the
    trial court erred by denying his motion to suppress Littrell’s testimony and the Our Kids
    report because the DCS worker who accompanied the victim to the examination
    improperly revealed to employees of Our Kids that the petitioner had a prior juvenile
    adjudication for a sex offense. Ia'. at *13. The petitioner argued the DCS worker
    obtained the information regarding the juvenile conviction in violation of Tennessee
    Code Annotated section 37-1-153. 
    Id. The Court
    of Criminal Appeals noted the
    petitioner failed to call the DCS worker at the suppression hearing, so it could not
    determine whether the information had been wrongfully obtained. 
    Id. Moreover, the
    petitioner failed to call Littrell at the suppression hearing, so it could not determine what,
    if any, prejudicial effect the information had on her. 
    Id. This Court
    additionally found
    the evidence presented at trial to be sufficient to sustain his conviction, and therefore
    affirmed the judgment of the trial court 
    Id. The petitioner
    next filed a timely petition for post-conviction relief alleging
    ineffective assistance of counsel. The post-conviction court appointed counsel, and the
    petitioner filed an amended petition for post-conviction relief arguing trial counsel
    provided ineffective assistance when failing to call both treating ER physicians to testify
    at trial and failing to seek an independent medical expert The petitioner then sought
    permission to file another amended petition for post-conviction relief, and the post-
    conviction court allowed the amendment
    _18_
    In his second amended petition for post-conviction relief,l the petitioner asserted
    the following additional grounds for his ineffective assistance of counsel claim: failure to
    call Littrell to testify at the suppression hearing regarding the bias created by the
    reference to the petitioner’s juvenile record; failure to object to Littrell’s testimony
    regarding the opinions held by other medical practitioners in her office; failure to seek
    suppression of the petitioner’s refusal to submit to a polygraph test and/or failure to
    object when Carter offered testimony regarding the petitioner’s refusal at trial; failure to
    adequately prepare Dr. Fontenot to testify at trial and/or failure to rehabilitate Dr.
    Fontenot after he changed his opinion regarding whether sexual abuse caused the victim’s
    injuries; failure to question Dr. Fontenot regarding the opinions held by Littrell; failure to
    test the rape kit; failure to question Hodges about picking up narcotics from the pharmacy
    and delivering them to her boyfriend during the time of injury; failure to ask the victim’s
    mother whether Hodges had narcotics in her possession the day of the rape and/or
    whether Hodges was under the influence of narcotics the day of the rape; failure to call
    Dr. Logan, the first emergency room physician to examine the victim, as a witness at
    trial; failure to admit Dr. Logan’s medical records for the victim into evidence; failure to
    object to the admission of the victim’s shorts into evidence; failure to effectively cross
    examine Dr. Boos; and failure to effectively cross-examine the victim’s mother.
    The post-conviction court held a hearing on the request for post-conviction relief
    and heard testimony from Littrell, trial counsel, and the petitioner. Littrell, a physician’s
    assistant at the Our Kids Center in Nashville, testified she was on-call November 23,
    2011, when the victim was taken to the clinic due to concerns of sexual abuse. The
    victim’s mother told Littrell about the victim’s anal tears, and Littrell was also told the
    petitioner had a history of juvenile sexual abuse and had been left alone with the victim.
    Prior to evaluating the victim, Littrell learned she had already been evaluated by two
    emergency room physicians who opined the anal tears were the result of constipation.
    Based on her examination, experience, and the relevant literature, Littrell instead opined
    the anal tears were the result of sexual abuse. She then collected evidence, known as the
    “rape kit,” and this evidence was stored at Our Kids. Littrell did not know whether law
    enforcement ever collected the rape kit for testing.
    Trial counsel testified next Trial counsel has been a licensed Tennessee attorney
    since 2005. From 2005 to 2011, trial counsel served as an assistant district attorney in
    Warren County. Since entering private practice, trial counsel has focused on criminal
    defense work. Trial counsel testified that he has tried numerous jury cases as both an
    assistant district attorney and a criminal defense attorney.
    l The petitioner titled the document “Third Amended Petition for Post-Conviction
    Relief,” but our review of the record indicates it was actually the second amended petition
    _19_
    Trial counsel did not seek permission to obtain a medical expert to assist with the
    case because he did not think it was necessary. Trial counsel did, however, seek and
    receive permission to obtain an investigator. The investigator hired by trial counsel spent
    67.3 hours on the matter and travelled 810 miles.
    Trial counsel was aware law enforcement never tested the rape kit collected by
    Littrell. When questioned during the post-conviction proceeding regarding the rape kit,
    trial counsel testified he did not submit the kit for testing because resources were limited,
    and he did not want to put too much money into something that may not advance his
    client’s cause. Trial counsel conceded that in hindsight he may have proceeded
    differently. At the time, however, he did not think the petitioner would benefit from
    testing the evidence collected during the physical examination of the victim for the
    presence of the petitioner’s semen
    As part of his investigation trial counsel’s investigator attempted to contact
    Hodges so on three occasions. Each time the investigator knocked on the door of
    Hodges’ last known address but did not receive an answer. He eventually left a business
    card requesting a return call. Hodges never called.
    Trial counsel’s investigator also contacted the victim’s mother, who initially
    refused to cooperate. Prior to trial, however, the victim’s mother reached out to the
    investigator and scheduled a meeting. During their meeting, the victim’s mother
    indicated that the day of the rape, she and Hodges left the victim alone with the petitioner
    while they went to a pharmacy, picked up narcotics, and took them to Hodges’
    boyfriend’s house. While there, Hodges went inside for thirty-five to forty-five minutes
    while the victim’s mother remained in the car. The investigator subsequently served the
    victim’s mother with a trial subpoena and again received a hostile response. The victim’s
    mother appeared at trial, though, and offered testimony consistent with the information
    she provided to the investigator.
    Based on the pretrial conversation with the victim’s mother, trial counsel stated he
    did not question Hodges about picking up and/or delivering narcotics the day of the rape
    because he assumed she would deny it. Also, the petitioner told trial counsel that on
    several occasions he ingested drugs with the nurses who cared for the petitioner, and trial
    counsel was afraid Hodges would tell the jury this if questioned about picking up the
    drugs while she was supposed to be caring for the victim. lnstead, trial counsel opted to
    get this information into evidence through the victim’s mother.
    Trial counsel testified at length regarding the efforts made to find Dr. Logan, the
    first physician to evaluate the victim at the ER. The investigator hired by trial counsel
    attempted to contact Dr. Logan at the hospital where the victim was treated, but the
    _2()_
    physician no longer did rotations at the hospital. Dr. Logan’s office in Henderson,
    Tennessee had closed, so the investigator could not contact him at that address The
    investigator then left a voicemail message at the phone number associated with the
    Henderson, Tennessee office address but did not receive a return call. The investigator
    located another office address for Dr. Logan in Lawrenceburg, Tennessee, but Dr. Logan
    no longer worked in that office. The investigator then located an address for Dr. Logan
    in Tampa, Florida, but the telephone number associated with the address went to a
    locksmith. The investigator contacted a hospital in Tampa where Dr. Logan had
    privileges but was told the physician had not practiced there in years The investigator
    then found two additional addresses associated with Dr. Logan and left messages for him
    at both but did not receive return calls.
    After the attempts to locate Dr. Logan proved unfruitful, trial counsel took the
    position that Dr. Logan’s examination could come into evidence through Dr. Fontenot,
    who examined the victim after Dr. Logan Both trial counsel’s investigator and trial
    counsel spoke with Dr. Fontenot prior to trial. At the time he treated the victim, Dr.
    Fontenot was aware there were concerns of sexual abuse and was aware Dr. Logan had
    previously examined the victim and opined the anal fissures were caused by the passage
    of a large bowel movement Trial counsel admitted Dr. Logan’s medical records were
    not exhibited at trial but could not remember his reason for not introducing them into
    evidence. Trial counsel likewise could not remember whether he told Dr. Logan about
    the semen stain on the victim’s shorts. He disagreed Dr. Logan changed his opinion at
    trial after learning of the semen stain found on the victim’s shorts and instead
    remembered Dr. Logan stating it would have been important to know about the semen
    stain at the time he treated the victim.
    Trial counsel admittedly did not file a motion to suppress evidence regarding the
    petitioner’s refusal to take a polygraph test During cross-examination by trial counsel at
    trial, Investigator Carter referenced the petitioner’s refusal to take a polygraph test
    Rather than object, ask for a limiting instruction, or move for a mistrial, trial counsel
    elected not to draw attention to Investigator Carter’s comment and instead continued
    questioning the witness
    When testifying at trial, Littrell indicated she spoke with several coworkers that
    agreed with her diagnosis Trial counsel did not object to this hearsay testimony or cross-
    examine Littrell regarding the names and qualifications of those coworkers because once
    Littrell revealed that information at trial, it was too late for those witnesses to be located
    and called to testify. Moreover, questioning Littrell about her decision to speak with her
    coworkers would not have changed her actions and opinions Instead, it would have
    highlighted Littrell’s testimony that others in her office agreed with her opinions
    _21_
    When the State moved to introduce the semen-stained shorts at trial, trial counsel
    did not object to their admissibility Trial counsel received all evidence prior to trial and
    knew the shorts had been properly preserved. He did not object to any deficiencies in the
    chain-of-custody testimony because he believed they could be cured. Trial counsel stated
    it was always his belief the victim was wearing the shorts the day of the rape. He
    discussed all evidence with the petitioner prior to trial, including the shorts. The
    petitioner saw the shorts and never voiced concern they were not the shorts his daughter
    was wearing the day at issue. Further, trial counsel understood that Hodges told
    Investigator Carter those were the shorts the victim was wearing the day of the rape, and
    Investigator Carter then located the shorts using the information Hodges provided to him.
    The petitioner testified last at the post-conviction hearing. The petitioner stated he
    did not testify at trial because he was scared he would be questioned regarding his
    juvenile conviction Had he known the conviction could not be used against him unless
    he opened a door to its use through his testimony, he would have testified at trial. The
    petitioner denied sexually assaulting his daughter.
    The petitioner rested after calling Littrell, trial counsel, and the petitioner to
    testify. The State did not present any additional proof. The post-conviction court denied
    the petition, and in its order denying the petition found:
    1. Counsel was not deficient by failing to call Lori Littrell to testify at the
    suppression hearing. There is no reason to believe her testimony could
    have been excluded even if she had testified.
    2. [Trial] [c]ounsel was not deficient by failing to object to the question
    regarding Ms. Littrell’s colleagues[’] opinions being consistent with her
    findings Although the answer was possibly hearsay counsel reasonably
    chose to not highlight that part of the answer by objecting and drawing
    attention to it.
    3. Similarly, [trial] counsel did not object to the answer given by
    Investigator Carter that referenced in passing a polygraph request of the
    [petitioner]. [Trial] [c]ounsel believed at the time the jury did not seem
    interested in that part of the answer and therefore chose not to highlight
    it by objecting even though the statement was inadmissible
    4. [Trial] [c]ounsel spoke to Dr. Fonetnot before trial and was not deficient
    in preparing the doctor for his testimony. [Trial] [c]ounsel did his best
    to get Dr. Fontenot to give testimony favorable to his client
    _22_
    5. There was no deficiency in any other questioning or lack thereof in Dr.
    Fontenot’s testimony.
    6. [Trial] [c]ounsel should have investigated the results of the rape kit
    However, there is no evidence of what the results of that test were so
    there is no belief that a lost rape kit would have changed the verdict
    without pure speculation
    7. The allegation that [trial] counsel did not properly cross-examine Sethly
    Hodges is without merit [Trial] [c]ounsel did thoroughly question
    Hodges, and his explanation of why he did not ask certain questions of
    Hodges made perfect sense. [Trial] [c]ounsel had a legitimate strategy
    in his decision
    8. [Trial] [c]ounsel tried repeatedly to contact Dr. Logan [and] was unable
    to do So. Failure to call a witness when you are unable to ascertain what
    that witness’ response will be is not deficient performance
    9. The testimony of Investigator Carter was not objectionable with regard
    to the clothing he recovered. [Trial] [c]ounsel’s failure to cross-
    examine Sethly Hodges and Tracy Martin cannot be considered to be
    deficient as there is no proof in the record as to what they would have
    said when pushed about the clothes the victim was wearing. The failure
    to object to the District Attorney’s characterization that the clothes were
    the ones worn by the victim is questionable, however, not so damning as
    to affect the verdict
    10. There is no evidence that Dr. Boos[’] testimony would change had other
    questions been asked of her. No testimony was presented by her at the
    post-conviction hearing.
    ll.There is no evidence that Kristian Boyd would have testified as
    [petitioner’s] post-conviction counsel suggests in their motion Further,
    trial counsel’s investigator properly talked to Boyd before trial and trial
    counsel was as prepared as he could be for her testimony.
    12.There is ample evidence that [the petitioner] made a knowing,
    intelligent and voluntary waiver of his right to testify. This allegation
    is wholly without merit The [petitioner] was advised repeatedly
    regarding the advantages and disadvantages of testifying. He was also
    properly questioned by the Court on this issue as well. The
    _23_
    [petitioner’s] statements indicate that he was very aware of his decision
    at the time [and] would now like to change his mind because of the
    outcome. [The petitioner] was not misinformed with regard to what
    may or may not be asked of him on the witness stand.
    This timely appeal followed.
    Analysis
    On appeal, the petitioner argues trial counsel provided ineffective assistance by
    failing to: object to Investigator Carter’s testimony regarding the petitioner’s refusal to
    take a polygraph test; object to the hearsay testimony of Littrell regarding opinions by
    unnamed coworkers; introduce the medical records of Dr. Logan; mention the untested
    rape kit; question Hodges regarding her possession or use of drugs prior to reporting the
    sexual assault; object to the admission of shorts belonging to the victim with the
    petitioner’s semen on them; object to the State’s characterization of the shorts during
    closing statements as the shorts worn by the victim the day of the assault; and adequately
    prepare Dr. Fontenot for trial. According to the petitioner, these cumulative errors caused
    prejudice by substantially impairing the ability of the jury to accurately weigh and assess
    the proof. The State contends the petitioner failed to show how trial counsel’s
    performance was deficient and instead challenges the strategic decisions of trial counsel
    made after adequate trial preparation We agree with the State and affirm the judgment
    of the post-conviction court
    To obtain relief in a post-conviction proceeding, a petitioner must demonstrate his
    or her “conviction or sentence is void or voidable because of the abridgement of any right
    guaranteed by the Constitution of Tennessee or the Constitution of the United States.”
    Tenn. Code Ann § 40-30-103. The post-conviction petitioner bears the burden of
    proving his allegations of fact by clear and convincing evidence. See Tenn. Code Ann §
    40-30-110(f). “‘Evidence is clear and convincing when there is no serious or substantial
    doubt about the correctness of the conclusions drawn from the evidence.”’ Lane v. State,
    
    316 S.W.3d 555
    , 562 (Tenn 2010) (quoting Grindstaff v. State, 
    297 S.W.3d 208
    , 216
    (Tenn. 2009)).
    Appellate courts do not reassess the trial court’s determination of the credibility of
    witnesses Dellinger v. State, 
    279 S.W.3d 282
    , 292 (Tenn 2009) (citing R.D.S. v. Stale,
    
    245 S.W.3d 356
    , 362 (Tenn. 2008)). Assessing the credibility of witnesses is a matter
    “‘entrusted to the trial judge as the trier of`` fact.”’ 
    R.D.S., 245 S.W.3d at 362
    (quoting
    State v. Oa'om, 
    928 S.W.2d 18
    , 23 (Tenn 1996)). When an evidentiary hearing is held in
    the post-conviction setting, the findings of fact made by the court are conclusive on
    appeal unless the evidence preponderates against them. See Tia'well v. State, 922 S.W.2d
    _24_
    497, 500 (Tenn. 1996). Where appellate review involves purely factual issues, the
    appellate court should not reweigh or reevaluate the evidence. See Henley v. State, 
    960 S.W.2d 572
    , 578 (Tenn. 1997). However, review of a trial court’s application of the law
    to the facts of the case is de novo, with no presumption of correctness See Ru]j’v. State,
    
    978 S.W.2d 95
    , 96 (Tenn. 1998). The issue of ineffective assistance of counsel, which
    presents mixed questions of fact and law, is reviewed de novo, with a presumption of
    correctness given only to the post-conviction court’s findings of fact See Fiela’s v. State,
    
    40 S.W.3d 450
    , 458 (Tenn. 2001); Burns v. State, 
    6 S.W.3d 453
    , 461 (Tenn. 1999).
    The Sixth Amendment to the United States Constitution, made applicable to the
    states through the Fourteenth Amendment and article I, section 9 of the Tennessee
    Constitution both require that criminal defendants receive effective assistance of counsel.
    Cauthern v. State, 
    145 S.W.3d 571
    , 598 (Tenn. Crim. App. 2004) (citation omitted).
    When a petitioner claims he received ineffective assistance of counsel, he has the burden
    of showing trial counsel’s performance was deficient and this deficient performance
    prejudiced the outcome of the proceeding Stricklana’ v. Washington, 
    466 U.S. 668
    , 687
    (1984); see State v. Taylor, 
    968 S.W.2d 900
    , 905 (Tenn. Crim. App. 1997) (noting that
    the same standard for determining ineffective assistance of counsel applied in federal
    cases also applies in Tennessee). The Strickland standard is a two-prong test:
    First, the defendant must show that counsel’s performance was deficient
    This requires showing that counsel made errors so serious that counsel was
    not functioning as the “counsel” guaranteed the defendant by the Sixth
    Amendment Second, the defendant must show that the deficient
    performance prejudiced the defense. This requires showing that counsel’s
    errors were so serious as to deprive the defendant of a fair trial, a trial
    whose result is 
    reliable. 466 U.S. at 687
    .
    The deficient performance prong of the test is satisfied by showing that “counsel’s
    acts or omissions were so serious as to fall below an objective standard of reasonableness
    under prevailing professional norms.” Goad v. State, 
    938 S.W.2d 363
    , 369 (Tenn. 1996)
    (citing 
    Strz'ckland, 466 U.S. at 688
    ; Baxter v. Rose, 
    523 S.W.2d 930
    , 936 (Tenn 1975)).
    With regard to the standard, our Supreme Court has held:
    [T]he assistance of counsel required under the Sixth Amendment is counsel
    reasonably likely to render and rendering reasonably effective assistance lt
    is a violation of this standard for defense counsel to deprive a criminal
    defendant of a substantial defense by his own ineffectiveness or
    incompetence . . . Defense counsel must perform at least as well as a lawyer
    _25_
    with ordinary training and skill in the criminal law and must
    conscientiously protect his client’s interest undeflected by conflicting
    considerations
    Finch v. State, 
    226 S.W.3d 307
    , 315-16 (Tenn. 2007) (quoting 
    Baxter, 523 S.W.2d at 934-35
    ).
    When reviewing trial counsel’s performance, this Court “must make every effort
    to eliminate the distorting effects of hindsight to reconstruct the circumstances of
    counsel’s conduct and to evaluate the conduct from the perspective of counsel at that
    time.” Howell v. State, 
    185 S.W.3d 319
    , 326 (Tenn 2006) (citing 
    Stricklana’, 466 U.S. at 689
    ). The fact a trial strategy or tactic failed or was detrimental to the defense does not
    alone, support a claim for ineffective assistance of counsel. Cooper v. State, 
    847 S.W.2d 521
    , 528 (Tenn. Crim. App. 1992). Deference is given to sound tactical decisions made
    after adequate preparation for the case, Ia’.
    To satisfy the prejudice prong of the test the petitioner “must establish a
    reasonable probability that but for counsel’s errors the result of the proceeding would
    have been different.” Vaughn v. State, 
    202 S.W.3d 106
    , 116 (Tenn. 2006) (citing
    
    Stricklana’, 466 U.S. at 694
    ). “A ‘reasonable probability is a probability sufficient to
    undermine confidence in the outcome.”’ Ia’. (quoting 
    Stricklana’, 466 U.S. at 694
    ). In
    order for the petitioner to prevail, the deficient performance must have been of such
    magnitude that the petitioner was deprived of a fair trial and the reliability of the outcome
    was called into question 
    Finch, 226 S.W.3d at 316
    .
    Courts need not approach the Stricklana' test in a specific order or even “address
    both components of the inquiry if the defendant makes an insufficient showing on 
    one.” 466 U.S. at 697
    ; see also 
    Goaa’, 938 S.W.2d at 370
    (stating that “failure to prove either
    deficiency or prejudice provides a sufficient basis to deny relief on the ineffective
    assistance claim”).
    When a petitioner contends trial counsel failed to discover, interview, or present
    witnesses in support of his defense, the petitioner must call those witnesses to testify at an
    evidentiary hearing Black v. State, 
    794 S.W.2d 752
    , 757 (Tenn Crim. App. 1990). This
    is the only way the petitioner can establish:
    that (a) a material witness existed and the witness could have been
    discovered but for counsel’s neglect in his investigation of the case, (b) a
    known witness was not interviewed, (c) the failure to discover or interview
    a witness injured to his prejudice, or (d) the failure to have a known witness
    _26_
    present or call the witness to the stand resulted in the denial of critical
    evidence which inured to the prejudice of the petitioner.
    
    Id. Here, the
    petitioner challenges a string of tactical decisions made by trial counsel
    during the course of representation after adequate trial preparation Trial counsel’s
    investigator spent 67.3 hours on this case and spoke with multiple witnesses In addition,
    trial counsel spoke with Dr. Fontenot met with the petitioner, and reviewed all evidence
    with the petitioner prior to trial. Based on our review of the record, trial counsel was
    adequately prepared for the case.
    During the post-conviction hearing, trial counsel offered explanations for each
    tactical decision challenged by the petitioner. With respect to Investigator Carter’s
    testimony regarding the petitioner’s refusal to take a polygraph test trial counsel
    explained Investigator Carter unexpectedly offered this information on cross-
    examination Rather than cease his questioning of the witness and object or ask the trial
    judge for a mistrial or limiting instruction, trial counsel decided not to draw attention to
    the statement and instead continued with his cross-examination of the witness Similarly,
    when Littrell indicated she spoke with her coworkers regarding the victim and they
    agreed with her diagnosis trial counsel did not object to this hearsay testimony or cross-
    examine Littrell regarding the identity and credentials of the coworkers she spoke with.
    Again, trial counsel stated he did not wish to draw attention to the fact others agreed with
    Littrell’s finding the anal fissures were the result of sexual abuse.
    When questioned during the post-conviction proceeding regarding the rape kit
    trial counsel testified he did not ask for the kit to be tested because funds were limited,
    and he did not think that would be the best use of resources Trial counsel also did not
    think testing the rape kit would advance the petitioner’s cause. While trial counsel
    admitted in hindsight he may have preceded differently with respect to the rape kit the
    petitioner is not entitled to the benefit of hindsight 
    Howell, 185 S.W.3d at 326
    . Trial
    counsel was not questioned regarding why he did not question witnesses regarding the
    reason the evidence collected by Our Kids remained untested, and on appeal we cannot
    speculate as to the reason trial counsel did not do so.
    With respect to Dr. Logan, trial counsel recounted the extensive measures taken by
    his investigator to locate the physician He tried at least six different addresses in two
    different states, left multiple voicemail messages, and never received a response. Trial
    counsel conceded Dr. Logan’s medical records were not entered as evidence at trial.
    Trial counsel could not remember the reason for the omission but clarified his position at
    trial had been that Dr. Fontenot who did testify, reviewed Dr. Logan’s medical records
    _27_
    when treating the victim, so Dr. Fontenot could testify as to Dr. Logan’s medical
    diagnosis
    Trial counsel testified at length during the post-conviction hearing regarding his
    tactical reasons for not questioning Hodges about her possession or use of drugs prior to
    reporting the rape. Trial counsel did not think Hodges would admit to the delivery and
    potential ingestion of drugs and instead hoped to get this information into evidence
    through the victim’s mother. Moreover, the petitioner previously told trial counsel he
    had taken drugs with many of the horne healthcare nurses who visited his home to care
    for the victim, and trial counsel did not want to ask Hodges questions that may result in
    the jury hearing this information
    The petitioner challenges trial counsel’s failure to object to the introduction into
    evidence of the victim’s shorts bearing the petitioner’s semen, Similarly, the petitioner
    challenges trial counsel’s failure to object to the comment made by the State during
    closing arguments regarding the shorts being worn by the victim the day of the rape.
    When questioned about this during the post-conviction hearing, trial counsel stated he did
    not object to the chain-of-custody because, based on the information regarding the shorts
    he received prior to trial, he believed the State could correct any custody errors Further,
    he reviewed the evidence with the petitioner prior to trial, and the admissibility of the
    shorts was never an issue. The petitioner saw the shorts and did not voice concern his
    daughter was not wearing them the day at issue. lt was also trial counsel’s belief that
    Hodges told Investigator Carter those were the shorts the victim was wearing the day of
    the rape, and Investigator Carter then located the shorts using the information Hodges
    provided to him.
    Lastly, the petitioner alleges trial counsel did not adequately prepare Dr. Fontenot
    for trial by telling him in advance about the semen stain on the victim’s shorts During
    the post-conviction hearing however, trial counsel indicated his investigator interviewed
    Dr. Fontenot and trial counsel then spoke with Dr. Fontenot via telephone regarding his
    opinions Dr. Fontenot knew of the sexual abuse allegations when he treated the victim
    and knew he was corning to trial because there was an allegation of very violent sexual
    abuse. Trial counsel could not remember whether he told Dr. Fontenot about the semen
    stain found on the victim’s shorts, but trial counsel remembered discussing the reasons
    for Dr. Fontenot’s opinion the victim’s injuries were not the result of sexual abuse prior
    to trial.
    The petitioner failed to offer any evidence at the post-conviction hearing that the
    challenged actions were anything but tactical decisions made after adequate preparation
    for trial. The petitioner is not entitled to the benefit of hindsight simply because he is not
    satisfied with the jury’s verdict Even if there were some procedural oversights by trial
    -28_
    counsel, we have found nothing in the record to indicate the petitioner endured prejudice
    as a result of the actions of trial counsel.
    The petitioner contends the cumulative errors of trial counsel resulted in the denial
    of a fair trial. We discerned no errors, so this argument is without merit The petitioner
    is not entitled to post-conviction relief.
    Conclusion
    Based on the foregoing authorities and reasoning, the judgment of the post-
    conviction court is affirmed.
    J. ROSS DYER, JUDGE
    ..29_